A nationwide survey on participation in cardiac rehabilitation among patients with coronary heart disease using health claims data in Japan.
Adult
Aged
Cardiac Rehabilitation
/ statistics & numerical data
Coronary Artery Bypass
Coronary Artery Disease
/ rehabilitation
Exercise Therapy
Female
Follow-Up Studies
Health Plan Implementation
Humans
Male
Middle Aged
Nutritional Support
Patient Education as Topic
Patient Participation
/ psychology
Percutaneous Coronary Intervention
Prognosis
Retrospective Studies
Surveys and Questionnaires
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
11 10 2021
11 10 2021
Historique:
received:
24
05
2021
accepted:
22
09
2021
entrez:
12
10
2021
pubmed:
13
10
2021
medline:
29
1
2022
Statut:
epublish
Résumé
Poor implementation and variable quality of cardiac rehabilitation (CR) for coronary heart disease (CHD) have been a global concern. This nationwide study aimed to clarify the implementation of and participation in CR among CHD patients and associated factors in Japan. We conducted a retrospective cohort study using data extracted from the National Database of Health Insurance Claims and Specific Health Checkups of Japan. Patients who underwent percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in 2017-2018 were included. Aspects of CR were assessed in terms of (1) participation in exercise-based CR, (2) pharmacological education, and (3) nutritional education. Of 87,829 eligible patients, 32% had participated in exercise-based CR, with a mean program length of 40 ± 71 days. CABG was associated with higher CR participation compared to PCI (OR 10.2, 95% CI 9.6-10.8). Patients living in the Kyushu region were more likely to participate in CR (OR 2.59, 95% CI 2.39-2.81). Among patients who participated in CR, 92% received pharmacological education, whereas only 67% received nutritional education. In Japan, the implementation of CR for CHD is insufficient and involved varying personal, therapeutic, and geographical factors. CR implementation needs to be promoted in the future.
Identifiants
pubmed: 34635704
doi: 10.1038/s41598-021-99516-1
pii: 10.1038/s41598-021-99516-1
pmc: PMC8505519
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
20096Informations de copyright
© 2021. The Author(s).
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